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Pancreatitis
At GastroDoxs in Houston, board-certified gastroenterologist Dr. Nghia Nguyen specializes in diagnosing and treating acute and chronic pancreatitis. Combining advanced imaging, personalized treatment plans and minimally invasive procedures, he helps patients manage symptoms, prevent flare-ups, and improve their digestive health.
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
Common Causes and Risk Factors
Gallstones blocking the pancreatic duct
Heavy alcohol use
High triglyceride (fat) levels in the blood
Certain medications
Family history of pancreatic disease
Smoking and obesity
Signs and Symptoms
Severe pain in the upper abdomen, often radiating to the back
Nausea and vomiting
Fever or chills
Rapid heartbeat or low blood pressure
Swollen or tender abdomen
How Dr. Nghia Nguyen Diagnoses?
Dr. Nguyen uses a step-by-step approach:
Medical History and Physical Exam
He reviews your symptom onset, alcohol consumption, gallstone risk factors, family history of pancreatic disease, and performs an abdominal exam focusing on tenderness and guarding.
Blood Tests
We measure pancreatic enzymes (amylase and lipase), check liver function tests, and assess triglyceride levels to identify inflammation and rule out other causes.
Imaging Studies
Abdominal ultrasound to look for gallstones, duct dilation, and pancreatic swelling.
CT scan of the abdomen to evaluate the extent of pancreatic inflammation and detect complications.
Endoscopic ultrasound (EUS) for high-resolution images of the pancreas and bile ducts.
Magnetic resonance cholangiopancreatography (MRCP) to noninvasively visualize the biliary and pancreatic ductal systems.
Endoscopic Evaluation (if needed)
Endoscopic retrograde cholangiopancreatography (ERCP) may be performed to directly inspect and clear ductal obstructions or obtain tissue samples.
Treatment
Our Team offers a full range of care for pancreatitis.
1. Lifestyle and Diet Modifications
Personalized low-fat diet plan rich in fruits, vegetables, and lean proteins
Strict alcohol abstinence
Guidance on hydration and gentle exercise to maintain a healthy weight
2. Medications
Pancreatic enzyme replacement therapy to support digestion
Non-narcotic pain management options
Acid-reducing medications to protect pancreatic tissue
Triglyceride-lowering agents to control high blood fat levels
3. Minimally Invasive or Advanced Procedures
Endoscopic retrograde cholangiopancreatography (ERCP) for ductal clearance
Endoscopic drainage of cysts or fluid collections
Laparoscopic gallbladder removal for gallstone-related pancreatitis
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
Frequently Asked Questions
When should I be concerned about pancreatitis?
Call a doctor if you have strong belly pain, a fever, or can't keep food or water down.
Can pancreatitis be life-threatening?
Yes. Severe cases can lead to serious problems. Quick care can lower the risk.
What is the ICD-10 code for pancreatitis?
The ICD-10 code for acute pancreatitis is K85, and for chronic pancreatitis it's K86.1. Ask your insurance provider about coverage.
What does chronic pancreatitis mean?
Chronic pancreatitis means the pancreas is inflamed over time, which can cause pain and scarring.
How long does recovery take?
Mild acute cases improve in a few days. Chronic cases need long-term care and management.
Can diet help prevent flare-ups?
Yes. A low-fat diet and avoiding alcohol can make a big difference in preventing flare-ups.
Should I quit smoking?
Yes. Smoking makes pancreatitis worse and slows recovery.
